Emergency Department Point-of-Care Ultrasound for Suspected Tendon Ruptures: Use and Implementation
摘要
Tendon injuries are a frequent cause of presentation to the emergency department (ED), but their diagnosis can be challenging upon initial examination. Point-of-care ultrasound (POCUS) has emerged as a powerful, non-invasive diagnostic tool that can be rapidly deployed at the bedside. This review highlights the current evidence on the use of POCUS for diagnosing common tendon ruptures in the ED, focusing on diagnostic accuracy, dynamic scanning techniques, and practical implementation considerations.
Recent FindingsRecent meta-analyses and prospective studies demonstrate high diagnostic accuracy of point-of-care ultrasound (POCUS) for identifying complete ruptures of the Achilles, quadriceps, patellar, distal biceps, rotator cuff, and digital flexor and extensor tendons compared with magnetic resonance imaging (MRI).
SummaryPOCUS is an accurate imaging tool that can be used to evaluate tendon ruptures presented in the ED to expedite diagnosis, facilitate appropriate consultation, and, in many cases, replace the need for more advanced and expensive imaging alternatives such as MRI.